NPIMap

Organization Active NPI

Asociacion Cardiovascular del Sur de Puerto Rico, Inc.

  • Cardiovascular Disease Physician
  • Coto Laurel, PR
National Provider Identifier
1851361760
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
9213 Issued in PR
Legal business name
ASOCIACION CARDIOVASCULAR DEL SUR DE PUERTO RICO, INC.
Practice address
108 Torre San Cristobal
Coto Laurel, PR 00780-2844
Phone
(787) 844-2049
Fax
(787) 843-0045
NPI assigned
Jan 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jose Luis Vera MiroNPI 1548266968
Title
Director Medico
Phone
(787) 844-2049

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 9213 PR Primary

Addresses

Primary practice location

108 Torre San Cristobal
Coto Laurel, PR 00780-2844

Mailing address

108 Torre San Cristobal
Coto Laurel, PR 00780-2844
Phone (787) 844-2049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170411001166 PR Part B Supplier - Clinic/Group Practice 8527344365 Receives reassigned benefits from 5 practitioners
Practice locations: Coto Laurel, PR

National Provider Directory

National Provider Directory

Locations

108 Torre San Cristobal
Coto Laurel, PR 00780
Phone (787) 844-2010

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1851361760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 TORRE SAN CRISTOBAL",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802844",
            "telephone_number": "787-844-2049",
            "fax_number": "787-843-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 TORRE SAN CRISTOBAL",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802844",
            "telephone_number": "787-844-2049",
            "fax_number": "787-843-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASOCIACION CARDIOVASCULAR DEL SUR DE PUERTO RICO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "VERA MIRO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "DIRECTOR MEDICO",
        "authorized_official_telephone_number": "787-844-2049",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "9213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coto Laurel, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.